Factors promoting the introduction and placement in hospitals of nurses trained in specific medical practices: A cross-sectional survey of nursing directors in large hospitals in Japan

DOI
  • Yamamoto Takeshi
    Department of Nursing, School of Health Science, Sapporo Medical University
  • Saiki Masatoshi
    Department of Advanced Clinical Nursing, Division of Frontier Clinical Nursing, Graduate School of Nursing, Chiba University
  • Nishimiya Gaku
    Department of Advanced Clinical Nursing, Division of Frontier Clinical Nursing, Graduate School of Nursing, Chiba University Department of Nursing, Chiba University Hospital
  • Komatsu Ryo
    Department of Nursing Policy and Management, Graduate School of Nursing, Chiba University
  • Yamamoto Noriko
    Department of Gerontological Home Care and Long-term Care Nursing/Palliative Care Nursing, School of Health Sciences and Nursing, The University of Tokyo
  • Sakai Ikuko
    Department of Advanced Clinical Nursing, Division of Frontier Clinical Nursing, Graduate School of Nursing, Chiba University

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Other Title
  • 特定行為研修を修了した看護師の導入・配置に関わる要因:全国300床以上の病院の看護管理者を対象とした横断的研究

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Abstract

<p>The specific medical practices training system, established by the Ministry of Health, Labor and Welfare, Japan (MHLW) in October 2015, provides nurses with advanced and specialized knowledge and skills training based on the clinical procedure manuals prepared by physicians and dentists. As of March 2022, 4,832 nurses had completed the training, a number that is much lower than the MHLW's target. This study used an online questionnaire survey to investigate the factors related to the introduction and placement in hospitals of nurses trained in specific medical practices. The survey was sent to a total of 1,436 nursing directors nationwide across all hospitals with 300 or more beds; 412 responses were received (28.7% response rate). Among these, 252 (61.4%) hospitals had nurses who had completed the training. The introduction and placement of trained nurses into these hospitals was related to the following factors. Facility factors included having a large number of beds and being designated as training institutions. Factors related to the nursing managers' characteristics included the presence of a nursing manager who was a Certified Nurse Manager, who expected the training to promote collaborative practice, and who perceived that the training system could have a positive impact on patient care and nursing.</p>

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